ATI RN
Chapter 1 Introduction to Nursing Quizlet Questions
Question 1 of 5
Which statement reflects appropriate documentation in the medical record of a hospitalized client?
Correct Answer: A
Rationale: The correct answer is A because it provides specific, objective information about a medical condition - a small pressure ulcer on the left leg. This type of documentation is crucial for accurate assessment, diagnosis, and treatment planning. Choice B is incorrect as it reflects subjective interpretation rather than a factual observation. Choice C is also incorrect as it lacks relevant medical information. Choice D is incorrect as it describes a physical symptom without a specific location or context. In medical documentation, clarity and precision are essential for communication among healthcare providers and ensuring quality patient care.
Question 2 of 5
A pulse is normally palpated by applying moderate pressure using:
Correct Answer: D
Rationale: The correct answer is D: The middle three fingertips. This is because using the middle three fingertips allows for more precise palpation and better detection of the pulse rhythm and rate. The thumb and index finger have larger surface areas and may not provide accurate results. The palm is too broad and may not be sensitive enough to detect subtle pulse variations. Therefore, using the middle three fingertips is the most appropriate method for palpating a pulse accurately.
Question 3 of 5
Constipation is one of the most frequent complaints of elders. When assessing this problem, which action should be the nurse's priority?
Correct Answer: B
Rationale: The correct answer is B: Obtain a health and dietary history. This is the priority action because it helps identify potential causes of constipation such as inadequate fiber intake, dehydration, medications, or underlying health conditions. It guides appropriate interventions. Choice A (Obtain a complete blood count) is not the priority as it does not directly address the cause of constipation. Choice C (Refer to a provider for a physical examination) may be necessary but not the initial priority. Choice D (Measure height and weight) is not relevant to assessing constipation in elders.
Question 4 of 5
A negative peripheral pulse post cardiac catheterization indicates:
Correct Answer: A
Rationale: The correct answer is A: Clot formation on the femoral artery. A negative peripheral pulse post cardiac catheterization suggests impaired blood flow due to a clot in the femoral artery, affecting pulse palpation. Decreased oxygen on the foot (B) would not directly cause a negative pulse. Blood clots on the heart (C) would not be detected through a peripheral pulse assessment. Impending hemorrhage (D) would typically present with different signs such as hypotension or tachycardia, not a negative peripheral pulse.
Question 5 of 5
To properly perform the endotracheal insertion, the nurse:
Correct Answer: B
Rationale: Step-by-step rationale for choice B: 1. Inserting the catheter until coughing or resistance is felt ensures proper placement without causing trauma. 2. This technique helps clear secretions effectively without causing damage to the airway. 3. It allows the nurse to gauge the depth of insertion based on the patient's response. 4. Stopping at coughing or resistance prevents going too far and potentially damaging the airway. Summary: A: Turning on wall suction to 180 mmHg is incorrect as it can cause trauma to the airway. C: Withdrawing the catheter while continuously suctioning is incorrect as it can lead to hypoxia. D: Reentering the tracheostomy after suctioning the mouth is incorrect as it can introduce pathogens to the airway.